NCG020563_COMPLETE FILE - HISTORICAL_20151230

STORMWATER DIVISION CODING SHEET
NCG PERMITS
PERMIT NO.
w ID
DOC TYPE
,ZHISTORICAL FILE
❑ MONITORING REPORTS
DOC DATE
❑ () o j 5 (A 3 D
YYYYMMDD

December 30 , 2015
Energy, Mineral
and Land Resources
ENVIRONMENTAL QUALITY
BE Singleton & Sons Inc
Attn:
920 W Third St
Washington, NC 27889
PAT MCCRORY
Gm cmm
DONALD R. VAN DER VAART
Subject: NPDES Stormwater Permit Coverage Renewal COC #NCG020563
Dear Permittee:
S"( I'1'f111'S'
TRACY DAVIS
1)b""Jnr
For coverage under NPDES General Permit NCG020000, the Division of Energy, Mineral and Land
Resources (DEMLR) is forwarding herewith the reissued Certificate of Coverage and
Stormwater/Wastewater General Permit. This permit is reissued pursuant to the requirements ol' North
Carolina General Statute 143-215.1 and the Memorandum of Agreement between the state of North
Carolina and the U.S. Environmental Protection Agency, dated October 15, 2007 (or as subsequently
amended.) The following information is included with your permit package:
• New Certificate of Coverage
• Stormwater[Wastewater General Permit
• Technical Bulletin for the General Permit
• Discharge Monitoring Report (I)MR) Forms
• Annual Discharge Monitoring Report Forms
• Qualitative Monitoring Report Forms
The General Permit authorizes discharges of Stormwater and/or wastewater (as applicable to your site),
and it specifies your obligations with respect to discharge controls, management, monitoring and record
keeping. Please review the new permit to familiarize yourself with all changes in the reissued permit.
Significant changes to the General Permit are outlined in the Technical Bulletin.
Your coverage under the General Permit is transferable only through the specific action of DEMLR. This
permit does not affect the legal requirements to obtain other permits which may be required by the N.C.
Department of Environmental Quality, nor does it relieve the permittee from responsibility for
compliance with any other applicable federal, state, or local law, rule, standard, ordinance, order,
judgment or decree.
If you have any questions regarding this permit package please contact the DEMLR Stormwater
Permitting Program at 919-707-9220.
Sincerely,
floe Tracy E. Davis, P.E., C.P.M
Cc: Stormwater Permitting Files
`ww ot'Norlh Carolina I Gnvironmentul Quality I Energy. Mineral and I ind Remmnccs
1612 Mail Service Center 1 512 North Salisbury Street I Raleigh. NC 27699-1612
919 707 11200 '1'

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
June 7, 2006
B. E. Singleton & Sons Inc.
920 W Third St.
Washington, NC 27889
Subject:. Stormwater General Permit NCG020000
Operations and Maintenance Reminder
B. E. Singleton & Sons Incorporated
COC Number NCG020563
Martin County
Dear Permittee:
Our records indicate that you have been issued a Stormwater General Permit and a Certificate of
Coverage for your facility. These permits have specific conditions that must be met in order for you to
be in compliance with your permit. It is your responsibility, as the permit holder, to read and comply
with the conditions contained in the permit.
It is our responsibility, as the issuing authority, to make sure that the operation and maintenance of
your facility complies with the conditions contained in your permit. To assist you in complying with
these conditions, we are attaching a Technical Bulletin specific to your permit requirements. We are
currently in the process of developing our inspection schedule. Therefore, you should have all of
your records up to date as we may be contacting you in the near future to set up an inspection of your
facility.
If you have any questions, please do not hesitate to contact Samir Dumpor, Pat Durrett or myself at
[phone].
Sincerely
7i;2 Al Hodge, Supervisor
Washington Regional Office
Surface Water Protection Unit
Encl.
CC: WaRO files✓
North Carolina Division of Water Quality Internet h2o.enr.state.nc.us
943 Washington Square Mall Phone: [phone]��One
Washington, NC 27889 FAX [phone] V � tCarolina
An Equal Opportur tylA�rmative Action Employer — 50% Recycled110% Post Consumer Paper ;Vatmrallff

BE Singleton & Sons Inc
920 W Third St
Washington, NC 27889
Dear Permittee:
Michael F, Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of E3nvironment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
February 7, 2005 RECEMR-ou
FEB 2 1 2005
lr Q-WARD
Subject: NPDES Stormwater Permit Coverage Renewal
B E Singleton & Sons Incorporated
COC Number NCG020563
Martin County
In response to your renewal application for continued coverage under general permit NCG020000 the Division of Water
Quality (DWQ) is forwarding herewith the reissued stormwater general permit. Please review the new permit to familiarize
yourself with the changes in the reissued permit. The general permit authorizes discharges of stormwater and some types of
wastewater. You must meet the provisions of the permit for the types of discharges present at your facility. This permit is
reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement
between the state of North Carolina and the U.S. Environmental Protection Agency, dated December 6, 1981
The following information is included with your permit package:
• A new Certificate of Coverage
A copy of General Stormwater Permit NCG020000
A copy of a Technical Bulletin for the general permit
Five copies of Discharge Monitoring Report (DMR) Forms - wastewater and stormwater
Five copies of Qualitative Monitoring Report Form
Your coverage under this general permit is not transferable except after notice to DWQ. The Division may require modification
or revocation and reissuance of the Certificate of Coverage. This permit does not affect the legal requirements to obtain other
permits which may be required by DENR or relieve the permittee from responsibility for compliance with any other applicable
federal, state, or local law, rule, standard, ordinance, order, judgment, or decree.
If you have any questions regarding this permit package please contact Jonathan Diggs of the Central Office Stormwater
Permitting Unit at [phone], ext.537.
Sincerely,
for -
cc: Central Files
Stormwater & General Permits Unit Files
Washington Regional Office
One
No thCarolina
��aL7 2l;
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Intemet h2o.enr.state nc.uslsulstormwater.html 512 N. Salisbury St, Raleigh, NC 27604 FAX [phone]
An Equal OpportunitylAffirmative Action Employer — 50% Recycledl10% Post Consumer Paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG020000
CERTIFICATE OF COVERAGE No. NCG020563
STORMWATER AND PROCESS WASTEWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and
the Federal Water Pollution Control Act, as amended,
BE Singleton & Sons Inc
is hereby authorized to discharge stormwater and to operate treatment systems and discharges associated .
with mine dewatering wastewater and process wastewater from a facility located at
B E Singleton & Sons Incorporated
NCSR 1567
Washington
Martin County
to receiving waters designated as Welch Creek, a class C;Sw stream in the Roanoke River Basin in
accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II,
III, IV, V, and VI of Gereral Permit No. NCG020000 as attached.
This certificate of coverage shall become effective February 7, 2005.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day February 7, 2005
for Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

F \N A TF R T,
Michael F. Easley
t;
Governor
�. Ul William G. Ross Jr., Secretary
Department of Environment and Natural Resources
Y Kerr T. Stevens, Director
Division of Water Quality
May 11, 2001
Mr. B.E. Singleton, Jr., President MAY 21 2001 1
B.E. Singleton & Sons, Inc.
920 West Third Street
Washington, NC 27889By
Subject: General Permit No. NCG020000
B.E. Singleton & Sons, Inc.
COC NCG020563
Martin County
Dear Mr. Singleton:
In accordance with your application for discharge permit received on March S. 2001, we are forwarding herewith
the subject certificate of coverage to discharge under the subject state - NPDES general permit. This permit is issued
pursuant to the requirements of North Carolina General Statute 143-215 .1 and the Memorandum of Agreement between
North Carolina and the US Environmental Protection agency dated December 6, 1983.
If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to you,
you have the right to request an individual permit by submitting an individual permit application. Unless such demand is
made, this certificate of coverage shall be final and binding.
Please take notice that this certificate of coverage is not transferable except after notice to the Division of Water
Quality. The Division of Water Quality may require modification or revocation and reissuance of the certificate of
coverage.
This permit does not affect the legal requirements to obtain other permits which may be required by the Division
of Water Quality or permits required by the Division of Land Resources, Coastal Area Management Act or any other
Federal or Local governmental permit that may be required.
If you have any questions concerning this permit, please contact Mack Wiggins at telephone number 919/733-
5083 ext. 542.
cc: WWashington-Regional-OfficeZ
Central Files
Stormwater and General Permits Unit Files
A TAM
NCDENR
Customer Service
1 800 623-7748
Sincerely,
CAIIIGIll!;'! iS�il���Y
r F !.►7
Kerr T. Stevens
Division of Water Quakty 1617 Mail Service Center Raleigh, NC 27699-1617 [phone]

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG020000
CERTIFICATE OF COVERAGE No. NCG020563
STORMWATER, MINE DEWATERING, AND/OR OVERFLOW FROM
PROCESS WATER RECYCLE SYSTEMS DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
B.E. Singleton & Sons, Inc..
is hereby authorized to discharge mine dewatering from a facility located at
B.E. Singleton & Sons, Inc. -Davis Sand Pit
on NCSR 1567
east of Dardens
Martin County
to receiving waters designated as Welch Creek, class C Swp waters, in the Roanoke River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, II, I11,
IV, V, VI and VI of General Permit No. NCG020000 as attached.
This certificate of coverage shall become effective May 11, 2001.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day May 11, 2001.
Kerr T. Stevens, Director
Division of Water Quality
By Authority of the Environmental Management Commission

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10
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Print this form to PDF Return PDF of this form to DLR CO by email. cc DLR RO and DWQ SPU
MINING- PERMIT APPLICATION REVIEW FORM
for the
DIVISION OF WATER QUALITY
1HI
Project Name: Davis Sand Pit DLR Permit#: 59-27 County: Martin Address: floydwilliamslCaDgmail.com
YES NO
Is this mine a new mine? r , r
Have land disturbing activities
started? Date? r r
�atitude:34.8248 Longitude:-76.7874
Please return comments to (at DLR CO): Judy Wehner
Comments due by:
SECTION BELOW TO BE FILLED OUT BY DWQ:
Date Commencing
1991
1991
Is the RO concerned that the operation, as proposed, would violate standards of water quality? No
Comments: This mine has existing NPDES permit. No than es proposed to cause permit modification. No
issues with this renewal.
Watershed/Stream Name & Classification: Roanoke River basin Welch Creek class C Sw
DWQ Compliance Status of Mine: compliant
YES NO
NPDE=S'.permit`requiired?
r;
o
NPDES permit existing?
r , (Permit #NCG020563 )ED
If an NPDES permit'is not require'd;►is DWQ
y, "
' ."
.'still concerned ab`aut wetland degradation
by'dewatering?
Should permittee contact DWQ RO
immediately? (e.g. to schedule a site visit if
r RO Contact Name:
mine has already begun digging or is
Contact Reason:
dewatering without DWQ permit)
;.401 Wetlaind Cert. required?
r
f.7 - e'
401 Wetland Cert. existing?
G , Permit #
r
.Does :DWQ RO currently have enough t 3.
ui s �' + ` s r
s�
infoririation to determine ifS a:401Y f Y i•.,.�
s
',3_isl �14 �A 'u Y4
Im ` • -.a
q^
7. ' '' -
5ij
certification• is' re uired i
Rev September 2010

Print this form to PDF
Return PDF of this form to DLR CO by email. cc DLR RO and DWQ SPU
YES NO
'Are Wetlands disturbed•at this'site?
r
Does DWQ RO suspect or know of nearby
r
wetlands to the site?
.Is a wetland delmeationarequired prior to;
'
Elf 'By: Jb ar rConsultant
DWQ issuin the ermit?,
g P
bnsite? Or., r Offsite?
Stream Determination Needed?
r
r
'Stream Deter mmationCompleted?`'`
�.
Does DWQ RO need a statement that no
wetlands/streams are disturbed
r ,
r
for this project from applicant?
Buffer Determination Needed? .
XI,
r
Buffer Determination Completed?
r
r
;Recycle system permiYexistmg?' w r
r peg it
m # ".
!w
New Recycle System permit required?*
r
f-
Enough information to determine?
• . ... ' k
Non -discharge permit;exist�ng7* , �^' 7
r permit
Will wastewaters discharge to HQW waters
r
RE 7Q10
Unknown (permittee determine)- r
with a 7Q10=0? **
Flow:
r
Has Violation '
Ppeemit
r'
O&M Requirements
Does:DWQ'requir'e DLR to hold the
o
r
HQW17610 Concerns
r
(e.g. r so-DWQ can review it'further
r'
Other
because DWQ requires more information)?
µReason'
'
RG
contact
Until`
'.
Mine must wait to dewater until an O&M
r
r
plan is approved?
'The NPDES SW and WW permit NCG020000 covers closed -loop recycle systems, designed to exclude all stormwater run-off from
the system and operate at or below two -feet of freeboard. These systems maybe permitted by a Non -discharge Recycle System
Permit from the AguiferProtection Section (APS), OR may instead be permitted underNCG020000 to eliminate an additional permit.
Recvcle systems that do not meet those criteria are considered discharging systems, and are subiect to the NCG020000 discharge
ermit.
*'To obtain 7Q10 flows, permittees must contact the DWQ Stormwater Permitting Unit. If DWQ does not have a flow estimate fora
specific stream, permittees will be asked to obtain one. Permittees should contact J. Curtis Weaver at the USGS: 919-571-4043, for
more information on obtaining a 7Q10 flow. USGS will not determine a 7Q10 flow for tidally influenced water bodies.
Reviewed by:
DWQ RO Surface Water: WaRO Regional Office: Samir Dumpor Date: September 20, 2011
RO Aquifer Protection Section: Regional Office: Date:
SPU DWQ Central Office Reviewer (if applicable):
Rev September 2010

RECEIVE® b,)chaL-(c
AUG 19 2011
LAND fal;fA M SECTKM
NORTH CAROLINA
MINING PERMIT APPLICATION
RECEIVED
State of North Carolina SEP 13 2011
Department of EnvironmebWQ_WAR0
and Natural Resources
Division of Land Resources
Land Quality Section
' AUG 2 5 2011
LAND) C}UAL ITY SECTION
VIAS�iINGTOh..,_C'C)N,a.LOr�EC%E
1612 Mail Service Center
Raleigh, North Carolina 27699-1612
[phone]
Revised: January 30, 2008

GMCJ-i+11F7BJ
b 13 "N
U'!,�IFEA"�

- APPLICATION FOR A MINING PERMIT
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT
AND NATURAL RESOURCES
LAND QUALITY SECTION
APPLICATION FOR A MINING PERMIT
(PLEASE PRINT OR TYPE)
Name of Mine Davis Sand Pit County Martin
River Basin Roanoke
Latitude (decimal degrees to four places) N 350 49' 28"
Longitude (decimal degrees to four places) W 76" 47' 31"
2. Name of Applicant* B. E. Singleton & Sons, Inc.
3. Permanent address for receipt of official mail**
Washington, NC 27889
920 West Third Street
Telephone [phone] _ Alternate No. ( ) _
4. Mine Office Address 920 West Third Street
Washington, NC 27889 _ Telephone [phone]
Mine Manager _ B. E. Singleton, Jr. _
We hereby certify that all details contained in this Permit Application are true and correct to the best of our
knowledge. We fully understand that any willful misrepresentation of facts will be cause for permit
revocation.
***Signature Date alU. �/l _�
Print Name B. E. gleton, Jr.
Title President
* This will be the name that the mining permit will be issued to and the name that must be indicated on the
reclamation bond (security) that corresponds to this site.
** The Land Quality Section must be notified of any changes in the permanent address or telephone number.
*** Signature of company officer required.
G.S. 74-51 provides that the Department shall grant or deny an application for a permit within 60 days of receipt of a
complete application or, if a public hearing is held, within 30 days following the hearing and the filing of any
supplemental information required by the Department. All questions must be addressed and all required maps
provided before this application can be considered complete. Attach additional sheets as needed.

APPLICATION FOR A MINING PERMIT
NOTE: All of the following questions must be thoroughly answered regarding your mining operation for
the intended life of the mine. All responses must be clearly conveyed on a corresponding, detailed mine map.
A. GENERAL CHARACTERISTICS OF THE MINE
1. Answer all of the following that apply:
❑ If this is an application for a NEW permit, indicate the total acreage at the site to be covered by the
permit (this is the acreage that the "new permit" fee will be based upon):
Of this acreage, how much is owned and how much is leased? Acres owned:
Acres leased: Property owner if leased:
X If this is an application for RENEWAL of a mining permit, indicate the mining permit number and
T the total (overall) acreage covered by the existing permit: Mining Permit No.: 59-27
Total permitted acreage (this is the acreage that the "renewal" fee will be based upon): 36.1
❑ If this is an application for a MODIFICATION to a miring permit, indicate the mining permit
number and the total (overall) acreage covered by the existing permit.
Mining Permit No.: Total permitted acreage:
Does the modification involve acreage within the previously approved permitted boundary?
Yes X NoEl. If yes, indicate the acreage to be covered by this modification (this is the acreage
that tie "major modification" fee will be based upon): < 1 acre
Does the modification involve acreage outside the previously approved permitted boundary?
Yes ❑ No X. If yes, indicate the additional acreage to be covered by this
modification: . (NOTE: you must complete all of Section F. of this application form
entitled Notification of Adjoining Landowners).
Of this acreage to be added to the permit, will any portion of this acreage be affected (i.e.: disturbed,
ground cover removed) by the mining operation? Yes ❑ No ❑ (If no, a "minor modification"
fee of $100.00 is required, despite the "undisturbed" acreage to be added). If yes, indicate the
acreage to be affected within the acreage to be added to the permit (the total acreage to be added to
the permit is the acreage that the "major modification" fee will be based upon):
❑ If this is an application for TRANSFER of a mining permit, indicate the mining permit number and
the total (overall) acreage covered by the existing permit.
Mining Permit No.: Total permitted acreage:
SEE THE FEE SCHEDULE AT THE END OF THIS FORM FOR THE PROPER FEE AMOUNT TO BE
PAID FOR THE REQUESTED PERMIT ACTION(S) AND CORRESPONDING ACREAGE NOTED
ABOVE
2. Name of all materials mined:
3. Mining method:
❑ Hydraulic Dredge X Front-end Loader & Truck X_ Shovel & Truck
Dragline & Truck ❑ Self -loading Scraper
Other (explain):
4. a. Expected maximum depth of mine (feet) 15'
Depth is relative to what benchmark? (e.g., natural ground level, mean sea level, road elevation, etc.)
b. Expected average depth of mine (feet) 10'
-2-

APPLICATION FOR A MINING PERMIT
5. Has any area(s) at this site been mined in the past? Yes X_ No If yes, when and by whom was this activity conducted? B. E❑ Singleton & Sons, Inc.
6. Number of years for which the permit is requested (10 years maximum): 10 years
B. MAPS
Clearly mark and label the location of your mining operation on six (6) copies of a 7.5-minute quadrangle
and a county highway map. These maps, in addition to six (6) conies of all mine maps and reclamation
maps, must be submitted with each permit application.
7.5-minute quadrangles may be obtained from the N.C. Geological Survey:
Mailing Address: Physical Address:
1612 Mail Service Center OR 512 North Salisbury Street, 5t" Floor
Raleigh, North Carolina 27699-1612 Raleigh, North Carolina 27604
[phone]
www.LeoIoay.enr.state.nc.us/
County highway maps may be obtained from the N.C. Department of Transportation:
North Carolina Department of Transportation — Geographic Information Systems (GIS)
Mailinp, Address:
NCDOT GIS Unit
1587 Mail Service Center
Raleigh, North Carolina 27699-1587
Physical Address:
NCDOT GIS Unit
3401 Carl Sandburg Court
Raleigh, North Carolina 27610.
[phone]
«,vww.ncdot.or lit/gisCor►tact/defall It. lltml
2. Mine maps must be accurate and appropriately scaled drawings, aerial photographs or enlarged
topographic maps of the entire mine site. All aspects of the mine site must be clearly labeled on the
maps along with their corresponding (approximate) acreage. As a reminder, mining permits can
only be issued for up to 10 years; thus, all mine and reclamation maps must only denote those
activities that are intended to be conducted during the life of the ruining permit. All maps must be
of a scale sufficient (see minimum requirements listed below) to clearly illustrate the following, at a
minimum:
a. Property lines of the tract or tracts of land on which the proposed mining activity is to be located
including easements and rights -of -way.
b. Existing or proposed permit boundaries.
c. Initial and ultimate limits of clearing and grading.
d. Outline and width of all buffer zones (both undisturbed and unexcavated).
c. Outline and acreage of all pits/excavations.
f. Outline and acreage of all stockpile areas.
g. Outline and acreage of all temporary and/or permanent overburden disposal areas.
h. Location and acreage of all processing plants (processing plants may be described as to location and
distance from mine if sufficiently far removed).
i. Locations and names of all streams, rivers and lakes.
j. Outline and acreage of all settling and/or processing wastewater ponds.
k. Location and acreage of all planned and existing access roads and on -site haul roads.
1. Location of planned and existing on -site buildings.
m. Location and dimensions of all proposed sediment and erosion control measures.
n. Location of 100-year floodplain limits and wetland boundaries.
o. Names of owners of record, both public and private, of all tracts of land that are adjoining the mining
permit boundary; if an adjoining tract is owned or leased by the applicant or is owned by the lessor of
the mine tract, names of owners of record of tracts adjoining these tracts, that are within 1,000 feet of
the mining permit boundary, must be provided on the mine map.
-3-

APPLICATION FOR A MINING PERMIT
p. Names of owners of record, both public and private, of all tracts of land that are adjoining, the mining
permit boundary which lie directly across and are contiguous to any highway, creels, stream, river, or
other watercourse, railroad track, or utility or other public right-of-way. If an adjoining tract is owned
or leased by the applicant or is owned by the lessor of the mine tract, names of owners of record of
tracts adjoining these tracts, that are within 1,000 feet of the mining permit boundary, must be
provided on the mine map(s). NOTE: "Highway" means a road that has four lanes of travel or less
and is not designated as an Interstate Highway.
q. Map legend:
l . Name of applicant
2. Name of mine
3. North arrow
4. County
5. Scale
b. Symbols used and corresponding names
7. Date prepared and revised
8. Name and title of person preparing map
Map scales should meet the following guidelines:
PERMITTED ACREAGE MAP SCALE
0-49 Acres 1 inch = 50 feet
50-199 Acres 1 inch = 100 feet
200f Acres 1 inch = 200 feet
(NOTE: Smaller scaled maps may be acceptable if they clearly illustrate the above items)
-4-

APPLICATION FOR A MINING PERMIT
A table/chart must be provided on the mine map that clearly lists the approximate acreage oftail ings/sediment
ponds, stockpiles, wastepiles, processing area/haul roads, mine excavation and any other major aspect of the
mining operation that is proposed to be affected/disturbed during the life of the mining permit. A table/chart
similar to the following will be acceptable:
CATEGORY
AFFECTED ACREAGE
Tailings/Sediment Ponds
0.0
Stockpiles
0.0
Wastepiles
0.0
Processing Area/Haul Roads
1.15
Mine Excavation
22.37
Other (Explain)
Total Disturbed Acreage
23.52
NOTE:
IN ADDITION TO THE ABOVE, THE MAPS MUST ALSO INCLUDE ANY SITE -SPECIFIC
INFORMATION THAT IS PROVIDED IN THE ANSWERS TO THE FOLLOWING QUESTIONS IN
THIS APPLICATION FORM (PLEASE NOTE THE ITALICIZED QUESTIONS/STATEMENTS
THROUGHOUT THE FORM). THIS APPLICATION WILL NOT BE CONSIDERED COMPLETE
WITHOUT ALL RELEVANT ITEMS BEING ADEQUATELY ADDRESSED ON THE MINE MAPS.
-5-

APPLICATION FOR A MINING PERMIT
C. PROTECTION OF NATURAL RESOURCES
Describe in detail the sequence of events for the development and operation of the mine and reference the
sequence to the mine map(s). Attach additional sheets as needed.
Please refer to the Mine Map. Section A (8 acres in size) was planted in pines a
number of years ago and applicant is requesting that this area be released. The
most recent mining activities have taken place in areas B & C.
2. Describe specific erosion control measures to be installed prior to land disturbing activities and during
mining to prevent offsite sedimentation (include specific plans for sediment and erasion control for mine
excavation(s), waste piles, access/mine roads and process areas), and give a detailed sequence of
installation and schedule for maintenance of the measures. Locate and label all sediment and erosion
control measures on the mine maps) and provide typical cross-sections/construction details of each
measure. Engineering designs and calculations are required to justify the adequacy of any proposed
measures.
Sediment traps will be constructed as needed when mining activities resume at the
site.
3. a. Will the operation involve washing the material mined, recycling process water, or other waste water
handling? Yes ❑ No X. If yes, briefly describe all such processes including any chemicals to be used.
b. Will the operation involve discharging fresh or wastewater from the mine or plant as a point discharge to
the waters of the State? Yes X No ❑. Ifyes, briefly describe the nature ofthe discharge and locate
all proposed discharge points (along with their method of stabilization) on your mine map(s).
Disturbed/excavated areas will have positive drainage which will discharge at
the temporary sediment trap area.
-6-

APPLICATION FORA MINING )PERMIT
c: Will any part of the proposed mine excavation(s) extend below the water table? Yes ❑ No X.
If yes, do you intend to dewater the excavation(s)? Yes ❑ No ❑.
If yes, what impact, if any, will mine dewatering have on neighboring wells? Estimated withdrawal rate
in gallons per day: . Locate all existing wells on the mine maps) that lie within
500jeel of the proposed excavation area. Provide data to support any conclusions or statements made,
including any monitoring well data, well construction data and current water withdrawal rates. Indicate
whether the proposed mine locale is served by a public water system or private wells.
d. If you answered yes to any of the above questions, provide evidence that you have applied for or
obtained the appropriate water quality permit(s) (i.e., non -discharge, NPDES, Stonnwater, etc.) from the
Division of Water Quality, Water Quality Section. In addition, the applicant is required to register water
use with the Division of Water Resources if the operation withdraws more than 10,000 gallons per day
and needs a capacity use permit from the Division of Water Resources if the operation lies in a capacity
use area and withdraws more than 100,000 gallons per day.
NIA
4. a. Will the operation involve crushing or any other air contaminant emissions?. Yes ❑ No X.
If yes, indicate evidence that you have applied for or obtained an air quality permit issued -by the
Division of Air Quality or local governing body.
b. How will dust from stockpiles, haul roads, etc., be controlled?
Mining operator will utilize a water truck as necessary to control dust.
-7-

APPLICATION FOR A MINING PERMIT
A buffer will be required between any mining activity and any mining permit boundary or right-of-
way. It may be an unexcavated buffer (no excavation, but roadways, berms and erosion &
sedimentation control measures may be installed within it), an undisturbed buffer (no disturbance
within the buffer whatsoever), or a combination of the two, depending upon the site conditions. Note
that all buffers must be located within the mining permit boundaries.
How wide a buffer will be maintained between any mining activity and any mining permit boundary
or right-of-way at this site? A minimum buffer of 25 feet is recommended, although a wider buffer
may be needed depending on site conditions. Show all buffer locations and widths on the mine
map(s).
A minimum 50' unexcavated buffer will be maintained along any permit
boundaries as shown on the mine map.
b. A minimum 50 foot wide undisturbed buffer will be required between any land disturbing activities
within the mining permit boundaries and any natural watercourses and wetlands unless smaller
undisturbed buffers can be justified. Depending on site conditions, a buffer wider than 50 feet may
be needed.
How wide an undisturbed buffer will be maintained between any land disturbing activities within the
mining permit boundaries and any natural watercourses and wetlands at this site? Show all buffer
locations and widths on the mine map(s).
A minimum 50' undisturbed buffer will be maintained along any
watercourse and wetlands as shown on the mine map.
6. a. Describe methods to prevent landslide or slope instability adjacent to adjoining permit boundaries
during mining. Minimum 2 horizontal to I vertical slopes or flatter for clayey material and
minimum 3 horizontal to 1 vertical slopes or flatter for sandy material are generally required, unless
technical justification can be provided to allow steeper slopes.
A 3 horizontal to 1 vertical or flatter slope will be provided along the perimeter of
the excavated areas and unexcavated buffers.
-8-

APPLICATION FOR A MINING PERMIT
b. Provide a cross-section on the mine map(s) for all fill slopes (berms, waslepiles, overburden
disposal areas, etc.), clearly indicating the intended side slope gradient, installation ofany benches
and/or slope drains (with supporting design information) if needed, and the method of final
stabilization.
NIA
c. In excavation(s) of unconsolidated (non -rock) materials, specify the angle of all cut slopes including
specifications for benching and sloping. Cross -sections for all cut slopes must he provided on the
mine map(s).
A 3 horizontal to 1 vertical or flatter slope will be provided.
d. In hardrock excavations, specify proposed bench widths and heights in feet. Provide cross -sections
of the mine excavation clearly noting the angles of the cut slopes, widths of all safety benches and
mine benches, and the expected maximum depth of the excavation.
NIA
7. Describe other methods to be taken during raining to prevent physical hazard to any neighboring dwelling
house, public road, public, commercial or industrial building from any mine excavation. Locate all such
structures on the mine map if they are within 300 feet of any proposed excavation.
The nearest dwellin is approximately 700' from the permit boundary.
The end of NC SR 167 (Mill Pond Road) is approximately 200' east of the permitted
a rea.
8. Describe what kind of barricade will be used to prevent inadvertent public access along any high wall area
and when it will be implemented. Vegetated earthen berms, appropriate fencing and adequate boulder
barriers may be acceptable high wall barricades. A construction detail/cross-section and location of each
type of barricade to be used must be indicated on the mine map(s).
NIA
-9-

APPLICATION FOR A MINING PERMIT
9. Are acid producing minerals or soils present? Yes ❑ No X.
If yes, how will acid water pollution from the excavation, stockpiles and waste areas be controlled?
10. a. Describe specific plans (including a schedule of implementation) for screening the operation from
public view such as maintaining or planting trees, bushes or other vegetation, building berms or other
measures. Show the location of all visual screening on the mine map(s) and provide cross -sections
through all proposed berms or proposed spacing, sizes and species for tree plantings.
The site is adequately screened from public view by existing natural vegetation.
b. Could the operation have a significantly adverse effect on the purposes of a publicly owned park,
forest or recreation area? If so, how will such effects (i.e., noise, visibility, etc.) be mitigated?
NIA
It. Will explosives be used? Yes ❑ No X.
If yes, specify the types of explosive(s) and describe what precaution(s) will be used to prevent physical
hazard to persons or neighboring property from flying rocks or excessive air blasts or ground vibrations.
Depending on the rnine's location to nearby structures, more detailed technical information may be
required on the blasting program (such as a third -party blasting study). Locate the nearest offsite occupied
structure(s) to the proposed excavation(s) on the mine map and indicate its approximate distance to the
proposed excavation.
12. Will fuel tanks, solvents, or other chemical reagents be stored on -site? Yes ❑ No X.
Ifyes, describe these materials, how they will be stored and method ofcontainment in case ofspill. Indicate
the location(s) of all storage facilities on the mine map(s).
- 10-

APPLICATION FOR A MINING PERMIT
D. RECLAMATION PLAN
1. Describe your intended plan for the final reclamation and subsequent use of all affected lands and indicate
the sequence and general methods to be used in reclaiming this land. This must include the method of
reclamation of settling ponds and/or sediment control basins and the method of restoration or establishment
of any permanent drainage channels to a condition minimizing erosion, siltation and other pollution. This
information must be illustrated on a reclamation map and must correspond directly with the information
provided on the mine map(s). In addition, design information, including typical cross -sections, of any
permanent channels to be constructed as part of the reclamation plan and the locations) of all permanent
channels must be indicated on the reclamation map.
All areas disturbed by the mining activities will be properly graded and revegetated as
as called for in the revegetation plan on page 13.
2. is an excavated or impounded body of water to be left as a part of the reclamation? Yes - ❑ No X.
If yes, illustrate the location of the body(s) of water on the reclamation map and provide a scaled
cross -sections) through the proposed body(s) of water. The minimum water depth must be at least 4 feet,
measured from the normal low water table elevation, unless information is provided to indicate that a more
shallow water body will be productive and beneficial at this site.
Will the body(s) of water be stocked with fish? Yes - ❑ No[:].
If yes, specify species.
NIA
3. Describe provisions for safety to persons and to adjoining property in all completed excavations in rock
including what kind of permanent barricade will be left. Acceptable permanent barricades are appropriate
fencing, large boulders placed end -to -end, etc. Construction details and locations of all permanent
barricades must be shown on the reclamation map.
rkwl

APPLICATION FOR A MINING PERMIT
4. Indicate the method(s) of reclamation of overburden, refuse, spoil banks or other such on -site mine waste
areas, including specifications for benching and sloping. Final cross -sections and locations for such
areas must he provided on the reclamation map.
NIA
5. a. Describe reclamation of processing facilities, stockpile areas, and on -site roadways.
No processin facilities are proposed.
Stockpiles will be temporary and will be within the proposed excavation area.
The proposed haul roads would also be temporary in nature and within the
proposed excavation area.
b. Will any on -site roadways be left as part of the reclamation? Yes ❑ No X.
If yes, identify such roadways on the reclamation map and provide details on permanent road and ditch
line stabilization.
Describe the method of control of contaminants and disposal of scrap metal, junk machinery, cables, or
other such waste products of mining. (Note definition of refuse in The Mining Act of 1971.)
No off -site generated waste shall be disposed of on the mine site without prior written approval
from the NC Department of Environment and Natural Resources, Land Quality Section and either
the Division of Waste Management (DWM) or local governing body. If a disposal permit has been
issued by DWM for the site, a copy of said permit must be attached to this application'. All
temporary and permanent refuse disposal areas must be clearly delineated on the mine maps) and
reclamation map, along with a list of items to be disposed in said areas.
No off -site generated waste will be disposed of at the mine site without prior
approval from DENR.
- t2 -

APPLICATION FOR A MINING PERMIT
7. Describe your plan for revegetation or other surface treatment of the affected areas. This plan must
include recommendations for year-round seeding, including the time of seeding and the amount and type
of seed, fertilizer, lime and mulch per -acre. The recommendations must include general seeding
instructions for both permanent and temporary revegetation. Revegetation utilizing only tree plantings is
not acceptable. Recommendations can be sought from:
a. Authorized representatives of the local Soil and Water Conservation District;
b. Authorized representatives of the Division of Forest Resources, Department of Environment and
Natural Resources;
c. Authorized county representatives of the North Carolina Cooperative Extension Service, specialists
and research faculty with the Colleges of Agriculture and Life Sciences and Forest Resources at
North Carolina State University;
d. North Carolina licensed landscape architects;
e. Private consulting foresters referred by the Division of Forest Resources, Department of
Environment and Natural Resources;
f. N.C. Erosion and Sedimentation Control Planning and Design Manual;
g. N.C. Surface Mining Manual: A Guide for Permitting, Operation and Reclamation;
h. ' Others as may be approved' by the Department.
LIME - 2000 lbs/acre or follow recommendations from a soil test.
FERTILIZER -1000 lbslacre 8-8-8 or 10-10-10, or follow recommendations from a soil
test.
SEED - TYPE(S) AND RATE(S) OF APPLICATION INCLUDING YEAR-ROUND SEEDING
SCHEDULE (pounds/acre): [NOTE: Include Legumes]
Seed Types: - Seeding Dates: Seeding Rates:
Feb. 15 — April 1 Kobe Lespedeza 10
Bahiagrass 50
Redtop 1
Winter rye (grain) 15
April 1— July Common Bermuda. 50
August 1— October 24 Lespedeza (unsea rifled) 30
German millet 40
'October 25 — February 15 Rye (grain -temporary) 120
MULCH — All seeded areas shall be mulched using small grain straw at a rate of 2000
Ibs/acre and anchored appropriately.
OTHER VEGETATIVE COVERS — TYPE (S) AND RATE (S) OF APPLICATION INCLUDING
SEEDING SCHEDULE (pounds/acre, trees/acre, spacing of trees/shrubs, etc):
Revegetation or reforestati n plan approved by:
Signature Date
Print Name Floyd R. Williams PG CPG CPESC
Title President
Agency ^ Williams Environmental & _Geological Services, PLLC__
-13-

. APPLICATION FOR A MINING PERMIT
E. DETERMINATION OF AFFECTED ACREAGE AND BOND
The following bond calculation worksheet is to be used to establish an appropriate bond (based upon a range
of $500 to $5,000 per affected acre) for each permitted mine site based upon the acreage approved by the
Department to be affected during the life ofthe miningpermit. Please insert the approximate acrea e or each
insert the yppropriate reclamation cost/acre or each categ_,ory from the Schedule ol Reclamation Costs
provided with this applicationform) OR you can defer to the Department to calculate your bond for you based
upon vour mates and standard reclamation costs:
AFFECTED
RECLAMATION
RECLAMATION
CATEGORY
ACREAGE
COSTIACREX
COST
Tailings/Sediment Ponds:
0.0
Ac.
X
$ /Ac.
_ $
Stockpiles:
0.0
Ac.
X
$ /Ac.
_ $
Wastepiles:
0.0
Ac.
X
$ /Ac.
_ $
Processing Area/Haul Roads:
1.15
Ac.
X
$ 1,800 /Ac.
_ $ 2,070
Mine Excavation:
22.37
Ac.
X
$ 2,000 /Ac.
_ $ 44,740
Other:
0.0
Ac.
\Ac.
$ /Ac.
— S
TOTAL AFFECTED AC.:
23.52
Deducted
8 acres to be released.
(TOTAL PERMITTED AC.:
28.1
Ac.)
Temporary & Permanent Sedimentation & Erosion Control Measures:
Divide the TOTAL AFFECTED AC. above into the following two categories: a) affected acres that drain into
proposed/existing excavation and/or b) affected acres that will be graded for positive drainage where measures will
be needed to prevent offsite sedimentation and sedimentation to onsite watercourses and wetlands.
a) Internal Drainage Ac.
b) Positive Drainage 23.52 Ac. X $1,500.00 = $ T 35,280
SUBTOTAL COST: S 82,090
Inflation factor:
0.02 X SUBTOTAL COST: S 1,641.80 X Permit Life {1 to 10 years): 10
INFLATION COST: $ 16,418.00
TOTAL COST = SUBTOTAL COST + INFLATION COST = S 98,508.00
Total Reclamation Bond Cost: $ 98,500.00
(round down to the nearest $100.00)
-14-

APPLICATION FOR A MINING PERMIT
MINING FEE SCHEDULE
A nonrefundable permit application processing fee when filing for a new mining permit, a major permit modification or a renewal permit is
required as follows:
0-25 acres 26+acres
New Permit Applications $3,750.00 $5,000.00
Permit Modifications $750.00 $1,000.00
Permit Renewals $750.00 $1,000.00
Transfers/Minor Modifications* $100.00 $100.00
" A nonrefundable $100.00 permit application processing fee is required for minor permit modifications. Minor permit modifications include ownership transfers, name
changes, bond substitutions and permit renewals where the mine is inactive and fully stabilized. A minor permit modification also includes hands added to a permitted area,
outside of the minimum permit buffer zone requirements, where no plans for mining related disturbance of the added lands have been approved. Ail other changes are
considered major permit modifications.
Acres for new permits and renewal permits means the total acreage at the site. Acres for major modification of permits means that area of land affected by the modification
within the permitted mine area, or any additional land that is to be disturbed and added to an existing permitted area, or both.
-19-

APPLICATION FOR A MINING PERMIT
There are seven Land Quality Section (LQS) Regional Offices. Use the map below to locate the Regional Office
serving your county.
Asheville Regional Office
• Counties: Avery, Buncombe, Burke, Caldwell, Cherokee, Clay, Graham, Haywood, Henderson, Jackson,
Macon, Madison, McDowell, Mitchell, Polk, Rutherford, Swain, Transylvania, Yancey
• Address: 2090 U.S. Highway 70, Swannanoa, NC 28778
• Voice:828.296.4500
• FAX:828.299,7043
Fayetteville Regional Office
• Counties: Anson, Bladen, Cumberland, Harnett, Hoke, Montgomery, Moore, Richmond, Robeson, Sampson,
Scotland
• Address: 225 Green Street, (Systel Building), Suite 714, Fayetteville, NC 28301-5094
• Voice:910.433.3300
• FAX:[phone]
Mooresville Regional Office
• Counties: Alexander, Cabarrus, Catawba, Cleveland, Gaston, Iredell, Lincoln, Mecklenburg, Rowan, Stanly,
Union
• Address: 610 East Center Ave., Suite 301, Mooresville, NC 28115
• Voice:704.663.1699
• FAX, 704.663.6040
Raleigh Regional Office
• Counties: Chatham, Durham, Edgecombe, Franklin, Granville, Halifax, Johnston, Lee, Nash, Northampton,
Orange, Person, Vance, Wake, Warren, Wilson
• Address: 1628 Mail Service Center, Raleigh, NC 27699-1628 or 3800 Barrett Drive, Raleigh, NC 276.09
• Voice:919.791.4200
• FAX:[phone]
Washington Regional Office
• Counties: Beaufort, Bertie, Camden, Chowan, Craven, Currituck, Dare, Gates, Greene, Hertford, Hyde, Jones,
Lenoir, Martin, Pamlico, Pasquotank, Perquimans, Pitt, Tyrrell, Washington, Wayne
• Address: 943 Washington Square Mall, Washington, NC 27889
• Voice:252.946.6481
• FAX:[phone]
-20-

APPLICATION FOR A MINING PERMIT
LAND QUALITY REGIONAL OFFICES (continued)
Wilmington Regional Office
• Counties: Brunswick, Carteret, Columbus, Duplin, New Hanover, Onslow, Pender
• Address: 127 Cardinal Drive Extension, Wilmington, NC 28405
• Voice:910.796.7215
• FAX:910.350,2018
Winston-Salem Regional Office
• Counties: Alamance, Alleghany, Ashe, Caswell, Davidson, Davie, Forsyth, Guilford, Rockingham, Randolph,
Stokes, Surry, Watauga, Wilkes, Yadkin
• Address: 585 Waughtown Street, Winston-Salem, NC 27107
• Voice:336.771.5000
• FAX:[phone]
-21 -

APPLICATION FOR A MINING PERMIT
SCHEDULE OF RECLAMATION COSTS
Wised upon range of $500 - $5,000 per affected acre)
COMMODITY CODES: SG = Sand and/or Gravel, GS = Gemstone, Borrow = Borrow/fill dirt, CS = Crushed Stone,
DS = Dimension Stone,.FS = Feldspar, MI — Mica, LI = Lithium, PF = Pyrophyllite, OL = Olivine,
KY = Kyanite/Sillimanite/Andalusite, PH = Phosphate, CL = Clay/Shale, PE = Peat, AU = Gold, TI = Titanium, and OT
= Other
Type
_ T/S Ponds
S.piles
_ W.piles
_ P.area/H.R.
Mine Excay.
SG, GS,
$500/ac.(L)
$1800/ac.
$2000/ac.
$1800/ac.
$500/ac.(L )
Borrow
1500(FI)
$2000(PD)
CS, DS,
500(L)
1800
2000
2000
500(L)
FS, Ml,
1500(FI)
2500(1)D)
LI, PF, OL, KY
PH
I000(L)
2500
5000
5000
2000(1,)
2500(FI)
5000(PD)
CL
I000(L)
2500
5000
5000
2000(L)
2500(FI)
3700(PD)
PE, AU,
1000(L)
2500
3000
3500
2000(L)
TI, OT
2500(FI)
5000(PD)
(L) = reclamation to a lake and revegetating sideslopes
(FI) = reclamation by filling in and revegetating
(PD) = reclamation by grading for positive drainage & revegetating
AS PER NCAC 1.5A 5B.0003, IF YOU DISAGREE WITH THE BOND AMOUNT DETERMINED BY THE
BOND CALCULATION WORKSHEET, YOU MAY SUBMIT AN ESTIMATE OF RECLAMATION COSTS
FROM. A THIRD PARTY CONTRACTOR. SAID ESTIMATE MUST BE PROVIDED WITHIN 30 DAYS TO
THE FOLLOWING ADDRESS: Mining Program, Land Quality Section, 1612 Mail Service Center, Raleigh,
North Carolina 27699-1612
ALL ESTIMATES MUST INCLUDE THE FOLLOWING, AS A MINIMUM:
• FINAL GRADING COSTS PER ACRE
LIME AND FERTILIZER COSTS PER ACRE
• YEAR-ROUND SEEDING MIXTURE COSTS PER ACRE (FROM APPROVED REVEGETATION
PLAN IN APPLICATION/PERMIT DOCUMENT)
MULCH AND ANCHORING COSTS PER ACRE
ANY OTHER RECLAMATION COSTS NECESSARY TO COMPLY WITH THE APPROVED
RECLAMATION PLAN FOR THE SITE IN QUESTION
YOU WILL BE NOTIFIED AS SOON AS POSSIBLE OF THE DIRECTOR'S FINAL BOND DETERMINATION.
-22-

Seth A. Davis Heirs
0100324
MINE PERMIT BOUNDARY
UNEXCAVATED BUFFER
1557 , '" __FX N Lr1KII
1557 za
Try , ---
55 1 1
r `
8p 155
j
n f
y 1 w SECTION D
1552 z 1 Z
3 '
m
NO MINING HAS TAKEN PLACE IN SECTIUN D ! 1
1
j Q Ld -A i, 0
r cJ i o
f o 'Cl
l v o w 1
1 �l �w 1.
� 1 V) l
1�1 L'io
v
10 \
Irvin Bruce Davenport }
1 I �1 NO MINING HAS TAKEN PLACE IN SECTION F
0100379 ! r 4
jI
14 I f 1 SECTION F
I J ?
� 1 j
i� N r /
' SECTIONS D, F AND MOST OF E ARE BEING
SECTION c
. ` � 1 �
` UTILIZED AS AGRICULTURE LAND AT THIS TIME.
A � l
w 1 fo
j tv /
CC
l 1 /
j! ofq
r
� � r fA
MINE PERMIT BOUNDARY
PROPERTY
��N�
Edward L. Owens Heirs
0100893
' David Keith Davenport
0102118
/ David Keith Davenport
/ 0101485
Robert Ghee, 3r.
0100471
CATEGORY
A ,FECTED
A REAGE
Tailings/Sediment Ponds
0
Stockpiles
0
Wastep Iles
0
Processing Area/Haul Roads
1.15
Mine Excavation
; 22.37
Other Ex lain
Total Disturbed Acreage
23.52 ii
FINAL RECLAMATION CROSS-SECTION
O. E. SINGLETON & SONS, ANC.
DAVIS SAND PIT - MINING PERMIT NO.I 59-27
RENEWAL APPLICATION
Martin County
SCALE: 1" = 100'
MAP
DATE: 8/17/2.011
RECEIVED
LANE) Q ALITY SECTION
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